Dr. Andrea Ellen Clark Shah

M.D. | Pediatrics | Female

Dr. Andrea Ellen Clark Shah, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Andrea Ellen Clark Shah is 14810 Old Saint Augustine Rd Ste 106, Jacksonville, Florida - 32258-2558. She can be contacted on phone at 904-268-7701 and fax number 904-268-9708. Dr. Andrea Ellen Clark Shah is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Andrea Ellen Clark Shah is 1487987491 which was assigned by NPPES on 09 Sep, 2009 and it was last updated on 28 Dec, 2018. Dr. Andrea Ellen Clark Shah license number is ME91797 for Pediatrics (208000000X) in Florida.
Dr. Andrea Ellen Clark Shah is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Andrea Ellen Clark Shah basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Andrea Ellen Clark Shah
Credential :M.D.
Gender :Female
Business Address:
Dr. Andrea Ellen Clark Shah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :14810 Old Saint Augustine Rd Ste 106
Jacksonville, FL, 32258-2558
United States
Phone Number :904-268-7701
Fax Number :904-268-9708
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1487987491
NPI Entity Type : Individual
First Enrolment Date : 09 Sep, 2009
Last Updated On : 28 Dec, 2018
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Andrea Ellen Clark Shah are as mentioned. Primary taxonomy code for Dr. Andrea Ellen Clark Shah, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesME91797FL
Legacy Identifiers:
Other legacy medical identifiers of Dr. Andrea Ellen Clark Shah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
008434500MEDICAIDFL
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 45443
Salt Lake City, UT, 84145-0443
United States
Phone Number :904-202-1032
Fax Number :904-376-4107
Business Location:
Patients can refer following map for directions to Dr. Andrea Ellen Clark Shah practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.